I went in for a day shift yesterday, and it reminded me of how much I hate dayshift sometime. I had a crazy group, of all ICU/PCU-type patients. Seriously. I had a GI bleeder, a bleeding fistula with a pressure of 70, a resilient epistaxis on plavix with a falling Hgb/Hct, and an empty bed. The other two nurses were in very similar situations. Charge Nurse came by and asked how we were doing. We all gave her a look of "seriously, woman?!" and reported that we were drowning. I thought we got the point across pretty well. And then I see the ambulance stretcher headed down the hallway towards my empty bed.
They offloaded a septic patient. Not just any septic patient. A diabetic one with bilateral mastectomies less than a year ago AND NO LEGS! Also this ER doesn't do central lines except in dire situations. Well, to me this was a dire situation. I pulled the doc in to the room and was like central line set up now, yes? He said "well no, just keep looking for a peripheral line. And make sure you get cultures, too."
I was not happy. You can guess how crappy my shift was from there. Moral of the story? Never ever working dayshift there again. I'll stick with the BAMF'n night crew.